JUSTIN DANIEL SHORTELL M.D. NPI 1265995492

NPI Information

  • NPI: 1265995492
  • Provider Name: JUSTIN DANIEL SHORTELL, M.D.
  • Classification: Ophthalmology - 207WX0009X
  • Specialization: Glaucoma Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4910 MASSACHUSETTS AVE NW
    STE 21
    WASHINGTON, DC
    ZIP 20016
  • Phone: (202) 686-6700

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NPI Details

Justin Daniel Shortell, M.D. is a glaucoma specialist ophthalmology in Washington, DC with 7 years of experience. The provider is an ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. Justin Daniel Shortell, M.D. NPI is 1265995492. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

4910 MASSACHUSETTS AVE NW
STE 21
WASHINGTON, DC
ZIP 20016-360
Phone: (202) 686-6700
Fax: (202) 464-0208

The NPI 1265995492 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/14/2019 and was last updated on 9/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology0101281873VIRGINIANo
2207WX0009XOphthalmologyGlaucoma SpecialistMD500002813DISTRICT OF COLUMBIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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